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Axial non-contrast

Two selected non-contrast enhanced CT studies showing extensive localised cerebral oedema in the left hemisphere and in the frontal lobe of the right hemisphere. Midline shift to the right. Subdural haemorrhage related to the fracture site. Scalp haematoma.

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Axial T1

Selected T1 axial and T2 Coronal images of the infant performed three days after admission. Gross left cerebral oedema is shown with transtentorial and subfalcine herniation. The subdural collection is again shown.

Case Discussion

Parental explanation for this injury was that the child fell from the father's knees and bumped her head on a coffee table. There was a five hour delay before emergency services were called because the infant stopped breathing. It was not felt that the injuries were consistent with the given history. The patient was admitted to ICU and survived four days on intensive treatment before dying of the head injury